延续护理对慢性阻塞性肺疾病合并呼吸衰竭患者生存质量的影响  

Effect of continuous nursing on quality of life in patients with chronic obstructive pulmonary disease complicated with respiratory failure

作　　者：秦立志[1] QIN Lizhi(Department of Respiratory,Hebei Chest Hospital,Hebei Province,Shijiazhuang 050041,China)

机构地区：[1]河北省胸科医院呼吸科,河北石家庄050041

出　　处：《中国医药导报》2020年第16期190-192,196,共4页China Medical Herald

基　　金：河北省卫生计生委医学科学研究重点课题计划项目(ZL20140166)。

摘　　要：目的 分析延续护理对慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者生存质量的影响.方法 选取河北省胸科医院2017年12月~2018年12月收治的COPD合并呼吸衰竭患者120例作为研究对象,采用单双号法将其分为两组,单号为对照组,双号为观察组,每组60例.对照组采用常规护理,观察组在常规护理基础上添加延续护理,比较两组患者干预前后的生活影响程度[采用圣乔治呼吸问卷(SGRQ)评估]、身体健康[采用12项一般健康问卷(GHQ-12)评估]、体重指数(BMI)、健康知识掌握度评分情况.结果 干预前,两组患者SGRQ、GHQ-12评分、BMI、健康知识掌握度评分比较,差异均无统计学意义(均P>0.05).干预后,两组患者SGRQ、GHQ-12评分均低于干预前,两组患者BMI、健康知识掌握度评分均高于干预前,差异均有统计学意义(均P<0.05),且观察组SGRQ、GHQ-12评分均显著低于对照组,观察组BMI、健康知识掌握度评分均显著高于对照组,差异均有统计学意义(均P<0.05).结论 延续护理对COPD合并呼吸衰竭患者生存质量具有显著影响,值得推广.Objective To analyze the effect of continuous nursing on the quality of life of patients with chronic obstructive pulmonary disease(COPD)and respiratory failure.Methods A total of 120 COPD patients with respiratory failure who were treated in Hebei Province Chest Hospital from December 2017 to December 2018 were selected as the research subjects.They were divided into two groups using the single and double number method,and the single number was the control group.The double number is the observation group,with 60 cases in each group.The control group used conventional care,the observation group added continuous care on the basis of conventional care.The two groups of patients were compared with the life impact before and after intervention(using the St.George′s respirator questionnaire[SGRQ])and physical health(using 12 general health questionnaires[GHQ-12]assessment),body mass index(BMI),health knowledge mastery score.Results Before the intervention,there were no significant differences in the SGRQ score,GHQ-12 score,BMI,and health knowledge mastery score between the two groups(all P>0.05).After the intervention,the SGRQ score and GHQ-12 scores of the two groups were lower than before the intervention,and the BMI and health knowledge mastery scores of the two groups were higher than before the intervention,the differences were statistically significant(all P<0.05),and the SGRQ and GHQ-12 scores in the observation group were significantly lower than those of the control group,and the BMI and health knowledge mastery scores of the observation group were significantly higher than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Continuing care has a significant impact on the quality of life of patients with COPD and respiratory failure,and it is worth promoting.

关 键 词：延续护理 慢性阻塞性肺疾病 呼吸衰竭 生存质量 

分 类 号：R473.5[医药卫生—护理学]